NPIMap

Organization Active NPI

42 North Dental Care, PLLC

Doing business as Southern Connecticut Dental Group Ansonia

  • Dental Clinic/Center
  • Ansonia, CT
National Provider Identifier
1518657642
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
42 NORTH DENTAL CARE, PLLC
Doing business as
Southern Connecticut Dental Group Ansonia
Practice address
497 Main St
Ansonia, CT 06401-2333
Phone
(203) 735-4701
NPI assigned
May 11, 2023
Last updated
May 11, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
42 NORTH DENTAL CARE, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Angelo Scialabba
Title
Chief Dental Officer
Phone
(561) 512-2709

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

497 Main St
Ansonia, CT 06401-2333

Mailing address

200 5TH Ave FL 3
Waltham, MA 02451-8759

Other names 1

  • Southern Connecticut Dental Group Ansonia Doing business as

National Provider Directory

National Provider Directory
Tax ID family
42 North Dental Care PLLC8 organizations share this tax ID, including this one
Part of
42 North Dental Care PLLC

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1518657642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 5TH AVE FL 3",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024518759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 MAIN ST",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064012333",
            "telephone_number": "203-735-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "42 NORTH DENTAL CARE, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "42 NORTH DENTAL CARE, PLLC",
        "enumeration_date": "2023-05-11",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "SCIALABBA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANGELO",
        "authorized_official_title_or_position": "CHIEF DENTAL OFFICER",
        "authorized_official_telephone_number": "561-512-2709"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Connecticut Dental Group Ansonia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ansonia, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.